Individual
DR. KERRI-RAE AGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1413 DIAMOND HILL RD, WOONSOCKET, RI 02895-1510
(401) 769-0500
(401) 769-0502
Mailing address
23 OAK GROVE BLVD, NORTH PROVIDENCE, RI 02911-2608
(401) 354-8336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2563
RI
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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